Provider Demographics
NPI:1407696552
Name:WITHROW, VALERIE ELIZABETH (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:ELIZABETH
Last Name:WITHROW
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10060 S DR S
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:49029-9712
Mailing Address - Country:US
Mailing Address - Phone:517-781-0467
Mailing Address - Fax:
Practice Address - Street 1:300 NORTH AVE
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3396
Practice Address - Country:US
Practice Address - Phone:269-245-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704354044363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily